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CVS ALBANY, L.L.C.
CH021887Q SUNSET PARK HEALTH COUNCIL, INC.
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Covered Entity Details
Entity Name
SUNSET PARK HEALTH COUNCIL, INC.
Subdivision Name
CALLEN LORDE COMMUNITY HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH021887Q
Entity Address
356 W 18th St
New York, NY 10011-4401
Grant Number
H80CS07914
Participating Start Date
4/1/2004
Last Recertification Date
3/6/2025
Pharmacy Details
Pharmacy Name
CVS ALBANY, L.L.C.
Pharmacy Address
DBA CVS/PHARMACY # 10298
241 WEST 57TH STREET
NEW YORK, NY 10019
Pharmacy Comments
Contract Details
Approval Date
1/7/2021
Contract Begin Date
4/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Larry K. McReynolds, Executive Director
(718) 630-7216
Contract Pharmacy Representative
CVS Health
Brennan Manning, Pharmacy Enrollment Coordinator
(401) 701-6881
Signed By Date
1/7/2021
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